中药足浴辅助治疗小儿风热型外感发热的临床效果观察

The clinical effect of foot bathing with Traditional Chinese Medicine on infants＇ fever due to exogenous pathogenic

目的观察中药足浴方剂对小儿风热型外感发热的疗效，分析中药足浴对发热患儿的退热效果及症状改善情况。方法将90例风热型外感发热患儿按住院顺序随机分为试验组30例和对照组60例，均给予常规抗炎补液治疗，腋温超过37．5℃时，试验组给予2000ml中药煎剂足浴30min，药液温度38—40℃，体温复升亦可用同一方剂重复足浴1～2次；对照组予温水足浴，观察两组治疗后体温变化情况、相关症状、体征改善情况、治疗总有效率。结果试验组疗效优于对照组（P〈0．05）；试验组在方案实施后0．5h体温下降幅度没有显著差异（P〉0．05），但干预后1、2、3、4、5、6h体温下降幅度明显优于对照组（P〈0．05）；且在24、48、72h体温下降效果均优于对照组（P〈0．05）；试验组证候积分下降幅度优于对照组（P〈0．05）。结论中药足浴辅助治疗小儿风热型外感发热，在退热效果及治疗总有效率、改善症状方面均优于对照组，且降温疗效持久，简单方便，患儿家长依从性好。

Objective To observe the clinical effects of Traditional Chinese Medicine （TCM） footbath prescription on children＂ s exogenous wind-heat type fever, and analyze the antipyretic effects and symptom improvements of TCM footbath on the fevered children patients. Methods A total of 90 children patients with the exogenous wind- heat type fever were randomly divided into experimental group （n = 30 ） and control group （n = 60） according to the check-in time, and all of them were given the regular anti-inflammatory rehydration therapies＇. When the axillary temperatures exceeded 37.5℃, patients in the experimental group were given 2 000 ml TCM decoction for footbath for 30 minutes with the liquid temperature of 38 - 40℃, and if the body temperatures rose again, the same prescription was used for footbaths for 1 - 2 times; patients in the control group were given the warm water footbaths, and the temperature change situations, improvements of the related symptom and signs and the general effective percentage of the therapies were observed. Results The curative effect of experimental group was superior to that of control group. The decreasing rates of body temperatures in experimental group had no obvious differences after the plan being implemented during 0. 5 h, however after 1 h, 2 h, 3 h, 4 h, 5 h, 6 h, the decreasing rates of body temperatures were obviously superior to those of control group ; and what＇s more, the decreasing effects of bOdy temperatures were all superior to those of con- trol group at T24 h, T48 h and T72 h. The decreasing amplitudes of symptom scores in experimental group is obviously superior to those of control group. Conclusions TCM footbath therapy assisting the treatment of children＇s exogenous wind-heat type fever is superior to control group in antipyretic effects, general effective percentage, and improvements of symptom with lasting cooling effects, conveniences and good compliances of the children and parents.